Individual
BRANDI CECIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 WILLIS WAYS RD, PREMIER, WV 24878-2487
(681) 251-1036
Mailing address
PO BOX 257, PREMIER, WV 24878-0257
(681) 251-1036
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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